5,252 results match your criteria junction obstruction


Chronic opioid use is associated with obstructive and spastic disorders in the esophagus.

Neurogastroenterol Motil 2021 Sep 16:e14233. Epub 2021 Sep 16.

Department of Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.

Background And Aims: Chronic opioid effects on the esophagus are poorly understood. We investigated whether opioids were associated with increased prevalence of esophageal motility disorders.

Methods: A retrospective study of all patients undergoing high-resolution manometry (HREM) at the Yale Gastrointestinal Motility Lab between January 2014 and August 2019. Read More

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September 2021

A case report: cardiac dysphagia-a ghost of the past?

Eur Heart J Case Rep 2021 Sep 25;5(9):ytab338. Epub 2021 Aug 25.

Department of Cardiology, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium.

Background: Rheumatic heart disease has become rare in developed countries and physicians have grown unfamiliar with the disease and its clinical course. The mitral valve is most commonly affected leading to mitral regurgitation and/or stenosis. The chronic volume and/or pressure overload leads to atrial remodelling and enlargement, driving the development of atrial fibrillation and thrombo-embolic events. Read More

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September 2021

Renal Cortical Thickness After Pyeloplasty in Pediatric Ureteropelvic Junction Obstruction.

Res Rep Urol 2021 9;13:699-704. Epub 2021 Sep 9.

Division of Urology, Department of Surgery, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, Songkhla, Thailand.

Purpose: The main goal of pyeloplasty is to maintain or improve renal function. Diuretic renography is the gold standard for evaluating renal function after pyeloplasty. Renal ultrasonography (RUS) is commonly used to determine hydronephrosis in pediatric patients. Read More

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September 2021

Endoscopic treatment of primary vesicoureteral reflux in children with two different bulking agents, high success and low complication rates: Comparison of Dexell and Vantris.

Actas Urol Esp (Engl Ed) 2021 Sep 12. Epub 2021 Sep 12.

Departamento de Cirugía Pediátrica, Facultad de Medicina, University of Sütçü İmam, Kahramanmaras, Turkey.

Introduction And Objectives: To compare the results in terms of efficacy and safety of the endoscopic management for vesicoureteral reflux (VUR) in two different standardized primary VUR cohorts treated with Dexell and Vantris.

Patients: 128 refluxing renal units (RRU) in 87 patients with primary VUR (64 females, 23 males). Patients with secondary VUR and severe bladder and bowel dysfunction were excluded. Read More

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September 2021

Validation of modified diuretic drainage times criteria in congenital hydronephrosis.

J Pediatr Urol 2021 Aug 18. Epub 2021 Aug 18.

Divisions of Urology, Departments of Pediatric Surgery and Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada. Electronic address:

Introduction And Objective: The value of diuretic renography drainage times in congenital hydronephrosis (AHN) decision making is controversial. Recently, a group suggested a modification to the classically described diuretic drainage time cut-off values. They found that a drainage half-time (T) < 5 min was normal whereas a T exceeding 75 min predicted pyeloplasty. Read More

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Multimodality imaging in delineation of complex sinus venous defects and treatment outcomes over the last decade.

Cardiol Young 2021 Sep 15:1-9. Epub 2021 Sep 15.

Department of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.

Background: Diagnosis of sinus venosus defects, not infrequently associated with complex anomalous pulmonary venous drainage, may be delayed requiring multimodality imaging.

Methods: Retrospective review of all patients from February 2008 to January 2019.

Results: Thirty-seven children were diagnosed at a median age of 4. Read More

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September 2021

Our experience of operated pediatric ureteropelvic junction obstruction patients.

Urologia 2021 Sep 14:3915603211046161. Epub 2021 Sep 14.

Department of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Turkey.

Aims: Ureteropelvic junction obstruction (UPJO) may originate from extrinsic or intrinsic causes in children. The aim of this study is to present preoperative and postoperative data of our patients operated for UPJO.

Methods: A total of 64 patients who underwent open pyeloplasty were investigated retrospectively. Read More

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September 2021

[Proximal incisal edge length and recent clinical observation of Siewert type Ⅱ advanced esophagogastric junction adenocarcinoma].

Zhonghua Yi Xue Za Zhi 2021 Sep;101(34):2698-2702

Department of Gastrointestinal Surgery, Heji Hospital, Changzhi Medical College, Changzhi 046000,China.

To investigate the clinical effect of the radical resection with a proximal incisal edge length of 20-25 mm and 30-35 mm in Siewert type Ⅱ advanced esophagogastric junction adenocarcinoma, to shorten the minimum safe distance of the proximal incisal edge to 20-25 mm. A retrospective cohort study method was used. The clinical data of 166 patients with Siewert type Ⅱ advanced esophagogastric junction adenocarcinoma who underwent total gastrectomy from January 2017 to August 2020 in the Department of Gastrointestinal Surgery, Heji Hospital Affiliated to Changzhi Medical College were retrospectively collected. Read More

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September 2021

EUS-guided biliary interventions for benign diseases and unsuccessful ERCP - a prospective unicenter feasibility study on a large consecutive patient cohort.

Z Gastroenterol 2021 Sep 10;59(9):933-943. Epub 2021 Sep 10.

Dept. of Internal Medicine II (Gastroenterology, Hepatology and General Internal Medicine), Municipal Hospital ("SRH Wald-Klinikum Gera GmbH") of Gera, Gera, Germany.

Background And Study Aim: Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the treatment of biliary obstruction of any etiology. However, cannulation failure of the common bile duct (CBD) by ERCP occurs in 5-10%. Alternatives after a failed ERCP are re-ERCP by an expert endoscopist, percutaneous transhepatic cholangio drainage (PTCD), (balloon) enteroscopy-assisted ERCP, or surgery. Read More

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September 2021

Robot-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction due to aberrant blood vessel with ipsilateral retrocaval ureter.

IJU Case Rep 2021 Sep 3;4(5):273-276. Epub 2021 Jun 3.

Department of Urology Kyoto Prefectural University of Medicine Kyoto Japan.

Introduction: Ureteropelvic junction obstruction is a common congenital anomaly that causes hydronephrosis but rarely accompanies ipsilateral retrocaval ureter.

Case Presentation: A 39-year-old woman, who visited to our hospital complaining of worsened right low back pain and fever, was diagnosed with right hydronephrosis due to ureteropelvic junction obstruction by contrast-enhanced computed tomography. Intraoperatively before the planned robot-assisted laparoscopic pyeloplasty, retrograde pyelography was performed to reveal concomitant ipsilateral retrocaval ureter. Read More

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September 2021

[ROBOT ASSISTED PYELOPLASTY IN ADULTS WITH URETERO-PELVIC JUNCTION OBSTRUCTION (UPJO)].

Harefuah 2021 Sep;160(9):570-575

Department of Urology, Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel Affiliated to Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Background: Robotic-pyeloplasty (RP) for uretero-pelvic-junction-obstruction (UPJO) has been performed in our institution since 2013.

Objectives: To summarize the outcomes of RP in adults over 18 years of age.

Methods: Adult RP cases have been prospectively documented. Read More

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September 2021

Parapelvic cyst: A rare cause of ureteropelvic junction obstruction in a pediatric patient managed with robotic cyst decortication.

J Pediatr Urol 2021 Aug 17. Epub 2021 Aug 17.

Section of Pediatric Urology, Children's Healthcare of Atlanta and Emory University School of Medicine, 5730 Glenridge Drive, NE, Atlanta, GA, USA. Electronic address:

Introduction: We report a case of a right parapelvic renal cyst causing intermittent ureteropelvic junction obstruction (UPJO).

Diagnostic Evaluation: A 13-year-old male was referred for right flank pain. Stone protocol CT revealed renal pelvis dilation with punctate stones. Read More

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Etiology of Hydronephrosis in adults and children: Ultrasonographic Assessment in 233 patients.

Pak J Med Sci 2021 Sep-Oct;37(5):1326-1330

Abdullah Fahad Alshamrani, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawarah, Kingdom of Saudi Arabia.

Objectives: Hydronephrosis (HN) is dilatation of the collecting system of the kidney due to obstruction of urine outflow. This study intended firstly, to investigate the efficacy of ultrasound (US) imaging to determine the cause of HN, and secondly, to list the causes of HN.

Methods: In this retrospective study, 233 patients with HN were scanned to determine the cause of the HN in the period from 1 January 2016 to 31 October 2017. Read More

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November 2020

Whole exome sequencing identifies FOXL2, FOXA2 and FOXA3 as candidate genes for monogenic congenital anomalies of the kidneys and urinary tract.

Nephrol Dial Transplant 2021 Sep 2. Epub 2021 Sep 2.

Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Background: Congenital anomalies of the kidneys and urinary tract (CAKUT) constitute the most common cause of chronic kidney disease in the first three decades of life. Variants in four Forkhead box (FOX) transcription factors have been associated with CAKUT. We hypothesized that other FOX genes, if highly expressed in developing kidney, may also represent monogenic causes of CAKUT. Read More

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September 2021

Clinical and radiographic outcomes following salvage intervention for ureteropelvic junction obstruction.

Int Braz J Urol 2021 Nov-Dec;47(6):1209-1218

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, United States.

Purpose: We aimed to assess failure rates of salvage interventions and changes in split kidney function (SKF) following failed primary repair of ureteropelvic junction obstruction (UPJO).

Materials And Methods: A retrospective review of adult patients at an academic medical center who underwent salvage intervention following primary treatment for UPJO was performed. Symptomatic failure was defined as significant flank pain. Read More

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September 2021

Posterior urethral mini-valves causing urinary tract infection: A report of 3 cases.

Indian J Urol 2021 Jul-Sep;37(3):283-285. Epub 2021 Jul 1.

Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi, Andhra Pradesh, India.

Posterior urethral valves have myriad presentations based on the severity of obstruction with the milder end of spectrum often termed as mini-valves. The simultaneous occurrence of ureteropelvic junction obstruction and urethral valves has not been described before and is most likely coincidental. Herein, we discuss the management of three boys who had febrile urinary tract infection following pyeloplasty and on evaluation were found to have valves. Read More

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Obstructive Index in antenatal unilateral pelviureteric junction obstruction: A novel predictor of failure of conservative management.

Pediatr Int 2021 Aug 30. Epub 2021 Aug 30.

Department of Urology and Renal Transplant, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.

Background: To find the impact of obstructive index (OI) as a predictor of management in antenatal pelviureteric junction obstruction (PUJO).

Methods: Records of 135 cases of antenatally detected unilateral PUJO, selected for initial observation were retrospectively analysed. All patients who underwent pyeloplasty on follow up were put in Group A. Read More

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Postnatal urinary tract dilatation classification: improvement of the accuracy in predicting kidney injury.

Pediatr Nephrol 2021 Aug 28. Epub 2021 Aug 28.

Pediatric Nephrourology Division, Department of Pediatrics, School of Medicine, Federal University of Minas Gerais (UFMG), R Engenheiro Amaro Lanari 389/501, Belo Horizonte, MG, 30310-580, Brazil.

Background: The grading of urinary tract dilatation (UTD) on postnatal sonography is a fundamental step to establish rational management for infants with antenatal hydronephrosis (ANH). The aim of this study was to compare the prediction accuracy of UTD grading systems for relevant clinical outcomes. In addition, we propose a refinement of the UTD classification by adding quantitative measurements and evaluate its impact on accuracy. Read More

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Double intussusception in a teenage child with Peutz-Jeghers syndrome: A case report.

World J Clin Cases 2021 Aug;9(23):6804-6809

Department of Surgery, Hospital Sultanah Aminah, Johor Bahru 80100, Malaysia.

Background: Peutz-Jeghers syndrome (PJS) is a genetic disorder characterized by the development of gastrointestinal hamartomatous polyps and mucocutaneous melanin pigmentation. Patients with PJS are at risk of complications such as intussusception. Intussusception is a condition where one segment of the intestine invaginates into another, causing intestinal obstruction. Read More

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Commentary: Early Robotic-Assisted Laparoscopic Pyeloplasty for Infants Under 3 Months With Severe Ureteropelvic Junction Obstruction.

Front Pediatr 2021 10;9:724219. Epub 2021 Aug 10.

Department of Pediatric Urology, Meyer Children Hospital, University of Florence, Florence, Italy.

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Endoscope-Assisted Resection of Extra-Axial Premedullary Neurenteric Cyst via Far Lateral-Supracondylar Approach: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2021 Aug 25. Epub 2021 Aug 25.

Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA.

Neurenteric cysts are rare congenital lesions that may compress the ventral brainstem.1-9 In this operative video, we illustrate the surgical treatment of an intradural extra-axial neurenteric cyst extending from the lower pons to the craniocervical junction. The patient, an asymptomatic 52-yr-old female, underwent surveillance imaging of the premedullary lesion for 14 yr without progression. Read More

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Giant hydronephrosis secondary to ureteropelvic junction obstruction, a rare occurrence, case report.

Urol Case Rep 2021 Nov 10;39:101803. Epub 2021 Aug 10.

Urology Unit of Department of Surgery, St. Paul's Hospital Millennium Medical College, Swaziland Street, Addis Ababa, Ethiopia.

Giant hydronephrosis (GH) is very rare in adults. We report a case of a 46-year-old man who presented with progressively increasing abdominal swelling. A contrast-enhanced CT scan of the abdomen and pelvis was used for the diagnosis. Read More

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November 2021

Potential benefits of functional magnetic resonance urography (fMRU) over MAG3 renal scan in children with obstructive uropathy.

J Pediatr Urol 2021 Jul 10. Epub 2021 Jul 10.

Division of Body Imaging, Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Introduction: Functional renal imaging, most commonly with MAG3 nuclear medicine renal scan, is recommended in the evaluation of children with urinary tract dilation (UTD) suspected of obstructive uropathy. Alternatively, renal function can be evaluated with functional Magnetic Resonance Urography (fMRU), which has superior anatomic detail. However, there are not enough data comparing both methods' equivalency. Read More

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Surgery of uretero-pelvic junction obstruction (UPJO).

Semin Pediatr Surg 2021 Aug 14;30(4):151083. Epub 2021 Jul 14.

Department of Pediatric Surgery, Lucerne Children's Hospital, Luzern, Spitalstrasse 6000, Switzerland.

Uretero-pelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in infants and children. Historically, this condition has been approached surgically through a retroperitoneal approach as described by Anderson and Hynes aiming for an open dismembered pyeloplasty. A true evolution of laparoscopy in pediatric urology took place within the last 30 years. Read More

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Robotics and future technical developments in pediatric urology.

Semin Pediatr Surg 2021 Aug 14;30(4):151082. Epub 2021 Jul 14.

Pediatric Surgery Unit, Federico II University of Naples, Via Pansini 5, 80131 Naples, Italy.

Minimally invasive surgery (MIS) has represented the main innovation in the field of pediatric surgery and urology over the last 30 years. Pediatric MIS is a wide field, ranging from the standard laparoscopic surgery using 3-mm ports to robotics mainly adopted for pediatric urology indications. The aim of this paper was to summarize the current status of robotic surgery in pediatric urology and to evaluate possible future technical developments for this technique. Read More

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Minimal Invasive Treatment in Pelvic-Ureteric Junction Obstruction: A Comprehensive Review.

Res Rep Urol 2021 10;13:573-580. Epub 2021 Aug 10.

Department of Urology, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Pelvic-ureteric junction obstruction (PUJO) is a common condition, and one of the lead causes of hydronephrosis in children. Currently, the gold standard treatment of PUJO is open surgery using the Anderson-Hynes-modified dismembered pyeloplasty technique. However, with the advancement of medical technology, several minimal invasive approaches were developed, including endoscopic, laparoscopic, and robotic approach, from which the best choice of surgical technique was yet to be determined. Read More

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Variations in the Density and Distribution of Cajal Like Cells Associated With the Pathogenesis of Ureteropelvic Junction Obstruction: A Systematic Review and Meta-Analysis.

Front Surg 2021 28;8:721143. Epub 2021 Jul 28.

Department of Anatomy, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.

Cajal like cells (CLCs) in the upper urinary tract have an ability to generate coordinated spontaneous action potentials and are hypothesized to help propel urine from renal pelvis into the ureter. The objective of this review was to describe the variations in the density and distribution of CLCs associated with ureteropelvic junction obstruction (UPJO). Studies comparing the density and distribution of CLCs in the human upper urinary tract in patients with UPJO and healthy controls were included in this systematic review. Read More

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Meta-Analysis of the Efficacy of Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction via Retroperitoneal and Transperitoneal Approaches.

Front Pediatr 2021 29;9:707266. Epub 2021 Jul 29.

Kunming Children's Hospital, Kunming, China.

This study aimed to evaluate the clinical efficacy of laparoscopic pyeloplasty (LP) for ureteropelvic junction obstruction (UPJO) via retroperitoneal and transperitoneal approaches. A systematic literature search on keywords was undertaken using PubMed, Cochrane Library, Embase, China Nation Knowledge (CNKI), and Wanfang. The eligible literature was screened according to inclusion and exclusion criteria. Read More

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Isolated Medial Maxillary Buttress Displacement in Naso-Orbito-Ethmoid Fractures: A Surgical Indication to Resolve Nasal Airway Obstruction.

Ann Plast Surg 2021 Aug 12. Epub 2021 Aug 12.

From the Division of Plastic Surgery, McMaster University, Hamilton The Cooper Clinic, Kingston, Ontario, Canada.

Purpose: The aim of this study was to present a case series emphasizing low medial maxillary (pyriform) buttress displacement in naso-orbito-ethmoid (NOE) fractures as an operative indication, in the absence of the typical NOE surgical indications (medial canthus displacement, midface bony comminution, nasal bone collapse, and orbital indications), to prevent nasal airway obstruction.

Methods: Five cases of minor NOE fractures are reviewed, where only the low medial maxillary buttress was displaced. The typical surgical indications for NOE repair were absent. Read More

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Comments on a case of ureteropelvic junction obstruction with late progression in an adult female.

Urologia 2021 Aug;88(3):247-250

Department of Urology, Agostino Gemelli Academic Hospital Foundation, IRCCS, Catholic University School of Medicine, Rome, Italy.

Introduction: Ureteropelvic junction obstruction is a pathology typically diagnosed in childhood. Nevertheless, some clinically silent cases may be unnoticed until adulthood.

Case Description: We report the case of a 53-year-old female with hydronephrosis due to ureteropelvic junction stenosis diagnosed in the adulthood, who subsequently developed obstruction with progressive worsening of renal function without symptoms. Read More

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